Further understanding of the nature of the cell of origin in FL has been provided by analysis of the immunoglobulin variableregion gene sequences of the tumor cells. During differentiation, normal B lymphocytes undergo a series of recombinatorial and mutational changes in their immunoglobulin variable-region genes. The V(D)J rearrangements of V H and V L genes occur mainly in the bone marrow, and, after encounter with antigen, the somatic mutation mechanism is activated in centroblasts in the GC. [1][2][3] In this site, certain mutated sequences are selected by antigens held on follicular dendritic cells, leading to affinity maturation of the antibody response. Survival, maturation, and subsequent fate of selected B cells are directed by several additional elements in the GC, including CD40L ϩ T cells and cytokine milieu. [1][2][3] For FL, it is clear that the cell of origin has undergone somatic mutation and that in many patients this process has continued after transformation, leading to intraclonal variation of V gene sequences. [4][5][6] This behavior is consistent with location in the GC. Because normal B cells rely on engagement of the B-cell receptor for activation of the mutation mechanism, the finding of continuing mutational activity has led to debate about the role of antigens in stimulating FL. 7 However, it appears that ongoing mutational activity may be limited in FL, 8 but it is not apparent in cases that have transformed to diffuse lymphoma after chemotherapy. 5,9 Uncertainty about the role of antigen in FL also cannot easily be resolved by analysis of mutational patterns in V genes because it is now evident that there is a natural tendency of the complementaritydetermining region (CDR) sequences to accumulate replacement mutations. 10 It remains unclear, therefore, whether antigen has a role in influencing the behavior of tumor cells in FL.However, the importance of immunoglobulin expression in FL is highlighted by the fact that in most patients with FL, expression is retained, in spite of the fact that one allele of chromosome 14 is commonly disrupted at 14q32 by the t(14;18) translocation. 11,12 Consequent overexpression of bcl-2 protein by the nonfunctional immunoglobulin allele is one mechanism that contributes to tumor cell survival. The almost universal conservation of immunoglobulin expression by the remaining functional allele might indicate a selective advantage for tumor cells in FL. The question arises as to whether this is dependent on stimulation by antigen.Immunoglobulin carries N-glycosylated oligosaccharides located mainly in the heavy-chain constant regions. These act as spacers for the immunoglobulin molecule that are important for For personal use only. on May 11, 2018. by guest www.bloodjournal.org From maintaining effector functions. 13 Because of locations of the sites in the interstitial region between the C H 2 domains, the oligosaccharide chains are incompletely galactosylated and sialylated. 14 Human antibodies do not generally contain O-linked oligosaccharides, wi...